Little Bird Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hansen arrived unannounced to conduct an Annual Required inspection and was greeted by staff who contacted Administrator Katie Franco, that arrived shortly after. Facility is a two story building only licensed on first story. There is 6 beds and 7 bathrooms in this residential care facility for the elderly that has a fire clearance for 6 Non-ambulatory of which 2 may be bedridden. Facility also has a hospice waiver approved for 3. At today’s inspection there were 6 residents in care with 2 have dementia diagnosis & 2 on hospice. LPA initiated a tour of the facility around 10am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Exits were equipped with auditory devices which were activated and working properly at the time of the visit. Resident rooms were furnished per regulation. Water temperature in 3 of 7 bathrooms tested used by residents measured between 118 and 119.5 degrees F, with in range of 105 to 120 degrees F allowed per regulation. Bathrooms were equipped with necessary grab bars, and slip-resistant mats, strips, or flooring in all bathtub and shower floors as required by Title 22 regulations. Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored. Emergency food and water supplies are stored in the garage along with Personal Protective Equipment. Fire extinguishers were last serviced 6/4/2025. Smoke and Carbon Monoxide detectors located throughout the facility were operational during inspection. Disaster drills are conducted quarterly with most recent fire/disaster drill conducted 7/16/2025. Continue on LIC809-C Continued from LIC809 At approximately 11:30am on 8/26/2025 6 residents and 4 staff files were reviewed. LPA reviewed resident’s files and learned that 6 of 6 residents have an updated reappraisal/needs & care plan, TB and physician’s assessments on file as required by Title 22 Regulation. LPA reviewed a sample of 4 staff records at 1:10pm on 8/26/2025 and learned that all facility staff present and other individuals who require caregiver background checks have received criminal record clearances or exemptions. In addition, Direct care staff at the facility have completed required annual trainings. LPA was presented with proof of CPR & 1st Aid certification for staff that files were reviewed. Administrative Certificate for Katie Franco #7005297740 expires 1/28/2027. Medications and medication records (Centrally stored) were reviewed. LPA obtained while at facility- LIC500, LIC9020, Admin cert., LLC documentation, & Copy of Liability Insurance Licensee/Administrator to submit updates of the following documents by 9/9/2025: Control of Property Grant Deed & updated LLC documents No deficiencies cited during this inspection Exit interview conducted with Administrator/licenseethe state’s words, verbatim · CDSS document, Aug 26, 2025

Type of visit: Required - 1 Year

09/30/2024, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently six(6) residents in care. Facility approved/cleared for 6 non-ambulatory, 2 bedridden, and hospice waiver for 3. LPA met with Konstanze Franco (Manager) and Christopher Conradt (Back up Administrator). At approximately 1:10pm, LPA and Manager toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled and dated. Medications were found to be centrally stored. All rooms were equipped with lighting, night stand, and chest of drawers. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured at 116.0 and 116.4 degrees F which is within the range of 105 to 120 degrees F. Fire extinguishers were last inspected June, 2024. Smoke/Carbon Monoxide detectors located throughout the facility are hard wired were tested and operational. Toxins, sharps and other items that could pose threat if available to residents were located in the kitchen and were found to be locked and secured. Emergency food, water supplies, and Personal Protective Equipment are stored in the detached garage. Games along with activities are located in the living room. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. At approximately 1:55pm, LPA conducted review of 5 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. Continued on LIC809-C At approximately 2:20pm, LPA conducted a review of 5 resident records. All records had the required documentation. No deficiencies cited during today's inspection. Updated copies of the following documents were requested for facility file and are to be submitted to CCLD within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility LIC610- Emergency Disaster Plan (if any changes) Infection Control Plan (if any changes) Exit interview conducted with Manager and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 30, 2024

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Victoria Bertozzi and Helena Rummonds arrived unannounced to conduct an Annual Required inspection and was greeted by staff. LPAs met with back up Administrator, Christopher Conradt and Administrator Katie Franco arrived at a later time. LPAs initiated a tour of the facility around 9:20am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in bathrooms used by residents measured at 119 and 116 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked. Emergency food and water supplies are stored in the garage along with Personal Protective Equipment. Fire extinguishers were last serviced June 2023. Smoke and Carbon Monoxide detectors located throughout the facility were tested and operational during inspection. Most recent fire/disaster drill was conducted 8/01/2023. Four staff files and five resident files were reviewed. Staff have required First Aid and CPR certificates. Training records were reviewed. Administrative Certificate for Administrator, Katie Franco, 6017952740 is up to date and expires 1/28/2025. Medications and medication records were reviewed. Continued on LIC 809C Continued from LIC 809 Licensee/Administrator to submit updates of the following documents by 11/16/2023: LIC 500 Personnel Summary Copy of Liability Insurance LIC 610 Emergency Disaster Plan (If any changes) Infection Control Plan (If any changes) No deficiencies cited during this inspectionthe state’s words, verbatim · CDSS document, Oct 16, 2023